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any advice on these pages.Disclaimer

I'm trying to get a straight answer about the relative merits of implants vs. bridges. I am genetically
missing my upper left lateral incisor, and have been told by a couple of dentists and
orthodontists that my bone mass is good and I am a good candidate for an implant. However,
I was recently told by a different dentist that implants were a radical procedure to
replace only one tooth, and he suggested a bridge. My problem with a bridge is that it
requires the shaving down of adjacent teeth, and I have few enough decent teeth already
without carving away at them! Please just give me an objective opinion. The relative costs
are not a factor; the long-term benefits are. Thanks!

The debate between
dental implants and fixed bridgework is one of the hottest topics in dentistry today. For
an accurate prognosis of the risks and benefits of both procedures, it is very important
to visit a dentist who provides both services. If certain prerequisites are met (ie-
minimal bone loss, non-smoker, good oral hygiene, and adequate space to place an implant),
dental implants are an excellent choice. With this in mind, inherent risks are
involved with any surgery. Nonetheless, implants have now proven to remain strong for
10+,15+ years and counting! Dental implants to replace a single front tooth also
include the added challenge of tissue contouring. This means that it is important to
account for the expected bone loss and changes in your gums which occur during healing. By
monitoring the healing phase over several months, a completely natural appearance of your
new tooth can be attained. Another possible option for replacing a missing lateral
incisor is a restoration known as a 'Maryland Bridge'. This is essentially a bridge which
requires only modest removal of the enamel on the lingual, or back side, of the adjacent
teeth. This bridge is then bonded to the back side of your teeth, leaving the front of the
teeth with their enamel intact! This option is certainly a quicker fix than an implant
procedure, but also has its own drawbacks such as your loss of ability to floss between
the involved teeth. Though this answer only scratches the surface of the many facets of
this topic, I hope it helps you in your decision.